Afamelanotide dosage in published studies and labels

These are the doses used for Afamelanotide in FDA labelling and published clinical studies, reported as each source states them, one row per regimen. They describe what was studied or approved for a specific population. They are not a recommendation, and none of them is a dose for any individual.

Research and educational reference only. This is not medical advice, and no figure on this page is a dosing recommendation.

Last checked against primary sources:

Studied regimens and sources

Afamelanotide, sold in the research market as melanotan-1, has an FDA-approved human dosage - but not in the form it is sold as in the peptide market. The approved product, Scenesse, is a 16 mg controlled-release implant inserted subcutaneously above the anterior supra-iliac crest every 2 months, for erythropoietic protoporphyria. There is no approved injectable melanotan-1 and no approved dose for tanning.

FDA Approved
Dosage evidence summary for Afamelanotide
Human dosing establishedYes
Studied dose range16 mg implant every 2 months
RouteSubcutaneous implant
FrequencyEvery 2 months
Duration studiedRepeated during periods of sunlight exposure, per the label
TitrationNone. The implant delivers a fixed 16 mg and is not titrated.
Evidence levelFDA Approved
Last reviewed2026-09-05

Research-reported dosing

Doses as studied, one row per regimen. Different trials used different regimens; they are listed separately rather than averaged.

Research-reported dosing for Afamelanotide, one row per studied regimen
Study / contextPopulationDoseRouteFrequencyDurationOutcome studiedSource
FDA label - Scenesse, erythropoietic protoporphyriaFDA-approved label · FDA prescribing informationAdults with a history of phototoxic reactions from erythropoietic protoporphyria16 mg implantSubcutaneous implant, above the anterior supra-iliac crest, inserted by a trained professionalEvery 2 monthsPer labelIncrease in pain-free light exposureSCENESSE (afamelanotide) implant - FDA prescribing information, DailyMed
NCT01605136 - phase 3 confirmatory study, results postedClinical trial · Phase 3 randomised trial with posted resultsPatients with erythropoietic protoporphyria (n=93)Per trial protocol, implantSubcutaneous implant——Pain-free sunlight exposureNCT01605136 - Phase III Confirmatory Study in Erythropoietic Protoporphyria
NCT04053270 - multicentre phase 3, results postedClinical trial · Phase 3 trial with posted resultsPatients with erythropoietic protoporphyria (n=100)Per trial protocol, implantSubcutaneous implant——Light tolerance and quality of lifeNCT04053270 - Multicentre Phase III Erythropoietic Protoporphyria Study
NCT04525157 - phase 2, vitiligo with NB-UVB, results postedClinical trial · Phase 2 trial with posted resultsPatients with vitiligo (n=21)Per trial protocol, implantSubcutaneous implant——Repigmentation alongside narrow-band UVB phototherapyNCT04525157 - Afamelanotide and Narrow-Band Ultraviolet B Phototherapy in Vitiligo

Where sources disagree

  • The approved dose is a controlled-release implant placed by a trained professional, releasing 16 mg over several days. Melanotan-1 sold as a lyophilised vial for daily self-injection is a different dosage form entirely, and the implant's 16 mg does not translate into a daily injectable dose.
  • Every approved and trialled use is a medical one - erythropoietic protoporphyria, and in trials vitiligo and solar urticaria - in which increased pigmentation is the mechanism, not the goal. There is no approved dose for cosmetic tanning.
  • Melanotan-1 (afamelanotide) and melanotan II are different molecules with different pharmacology and different evidence. Melanotan II has no approved product; conflating the two transfers an approval that does not exist for it.